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Huge Intravascular Tumor Extending to the Heart: Leiomyomatosis
Joint Authors
Doganci, Suat
Kaya, Erkan
Kadan, Murat
Karabacak, Kubilay
Erol, Gökhan
Demirkilic, Ufuk
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-31
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Intravenous leiomyomatosis (IVL) is a rare neoplasm characterized by histologically benign-looking smooth muscle cell tumor mass, which is growing within the intrauterine and extrauterine venous system.
In this report we aimed to present an unusual case of IVL, which is originating from iliac vein and extended throughout to right cardiac chambers.
A 49-year-old female patient, who was treated with warfarin sodium due to right iliac vein thrombosis, was admitted to our department with intermittent dyspnea, palpitation, and dizziness.
Physical examination was almost normal except bilateral pretibial edema.
On magnetic resonance venography, there was an intravenous mass, which is originated from right internal iliac vein and extended into the inferior vena cava.
Transthoracic echocardiography and transesophageal echocardiography revealed a huge mass extending from the inferior vena cava through the right atrium, with obvious venous occlusion.
Thoracic, abdominal, and pelvic MR showed an intravascular mass, which is concordant with leiomyomatosis.
Surgery was performed through median sternotomy.
A huge mass with 25-cm length and 186-gr weight was excised through right atrial oblique incision, on beating heart with cardiopulmonary bypass.
Histopathologic assessment was compatible with IVL.
Exact strategy for the surgical treatment of IVL is still controversial.
We used one-stage approach, with complete resection of a huge IVL extending from right atrium to right iliac vein.
In such cases, high recurrence rate is a significant problem; therefore it should be kept in mind.
American Psychological Association (APA)
Doganci, Suat& Kaya, Erkan& Kadan, Murat& Karabacak, Kubilay& Erol, Gökhan& Demirkilic, Ufuk. 2015. Huge Intravascular Tumor Extending to the Heart: Leiomyomatosis. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060111
Modern Language Association (MLA)
Erol, Gökhan…[et al.]. Huge Intravascular Tumor Extending to the Heart: Leiomyomatosis. Case Reports in Surgery No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060111
American Medical Association (AMA)
Doganci, Suat& Kaya, Erkan& Kadan, Murat& Karabacak, Kubilay& Erol, Gökhan& Demirkilic, Ufuk. Huge Intravascular Tumor Extending to the Heart: Leiomyomatosis. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060111
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060111